Abstract
ObjectiveTo describe a microsurgical alternative to endoscopic third ventriculocisternostomy.MethodsTwo children with shunt-dependent hydrocephalus and multiple shunt revisions were considered candidates for third ventriculocisternostomy (TVS). Because of slit ventricles, an endoscopic approach was not possible and, therefore, both patients received a microsurgical TVS by a supraorbital approach.ResultsIn both cases, microsurgical TVS was successful and the patients became shunt free.ConclusionMicrosurgical TVS by a supraorbital craniotomy is a viable alternative to endoscopic TVS in selected cases.
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